Supplement to: Graham HR, Bagayana SM, Bakare AA, et al.

Improving hospital oxygen systems for COVID-19 in low-resource settings:

lessons from the field. Glob Health Sci Pract. 2020;8(4). https://doi.org/10.9745/GHSP-D-20-00224

Weekly Equipment Checklist Hospital:_______________________

To keep the Oxygen Concentrator, Pulse Oximeter, and other equipment functioning effectively please
perform these basic checks every week, and record on the Checklist. If there are any problems, report them
to the Engineer Responsible within 24 hours.

1. Turn the Concentrator on. If the concentrator has no power supply, an alarm should sound. If it does not,
replace the battery (or inform the responsible technician).
2. Turn the Concentrator flowmeter to 5LPM.
3. Does the Oxygen Concentration indicator (yellow light) turn OFF after a few minutes? If it stays on, the
concentrator is not producing adequate oxygen and needs referral to the Engineer Responsible.
4. Check the tubing connections of the Concentrator and Flowmeter assembly. Tighten loose connections,
and if there are cracks or leaks inform the Engineer Responsible.
5. Submerge the nasal prongs in water and adjust the flow rate on the Flowmeter Assembly (Sureflow). If
bubbles are not produced appropriately at flow rates of 0.5-2.0 LPM, contact the Engineer Responsible.
Repeat for every flowmeter. (You can now turn the concentrator off)
6. Clean the concentrator body, check for damage, and record the hours of use.
7. Remove the external filter and replace with a clean, dry filter. Wash the old filter and allow to dry.
8. Check the Lifebox Pulse Oximeter on your finger, and check that each of the probes are working. If any
are not working, contact the Engineer Responsible.
Weekly Equipment Checklist Hospital:_______________________
Local Technician:
Equipment Serial Numbers Contact:
 Insert the serial numbers for all Oxygen Project equipment
Engineer Responsible:
below and the date it was received.
Contact:

Oxygen Concentrators Oximeter Probes

Date received Concentrator Serial Number Date received Probe Serial Number

Pulse Oximeters
Date received Oximeter Serial Number
Weekly Equipment Checklist Hospital:_______________________
January – March 2017
Complete this EVERY WEEK. Check every item of equipment. Indicate correct function of all equipment with , and any problems with .
Describe problems identified and action taken (including equipment serial number).
Concentrators Oximeters
Checklist item ->      Document problems identified and action taken (include equipment serial number) 
Week starting Date Alarms Flow Hours Filter Oximeter Probes Problems & Actions Sign

E.g. 20/12/09   4    Probe #1234567 broken, contacted Engineer for replacement. HG

2/1/17     
9/1/17

16/1/17

23/1/17

30/1/17

6/2/17

13/2/1

20/2/17

27/2/17

6/3/17

13/3/17

20/3/17

27/3/17
Weekly Equipment Checklist Hospital:_______________________
April - June 2017
Complete this EVERY WEEK. Check every item of equipment. Indicate correct function of all equipment with , and any problems with .
Describe problems identified and action taken (including equipment serial number).

Concentrators Oximeters
Checklist item ->      Document problems identified and action taken (include equipment serial number) 
Week starting Date Alarms Flow Hours Filter Oximeter Probes Problems & Actions Sign

E.g. 20/12/09   4    Probe #1234567 broken, contacted Engineer for replacement. HG

3/4/17     
10/4/17

17/4/17

24/4/17

1/5/17

8/5/17

15/5/17

22/5/17

29/5/17

5/6/17

12/6/17

19/6/17

26/6/17
Weekly Equipment Checklist Hospital:_______________________
July - September 2017
Complete this EVERY WEEK. Check every item of equipment. Indicate correct function of all equipment with , and any problems with .
Describe problems identified and action taken (including equipment serial number).

Concentrators Oximeters
Checklist item ->      Document problems identified and action taken (include equipment serial number) 
Week starting Date Alarms Flow Hours Filter Oximeter Probes Problems & Actions Sign

E.g. 20/12/09   4    Probe #1234567 broken, contacted Engineer for replacement. HG

3/7/17     
10/7/17

17/7/17

24/7/17

31/7/17

7/8/17

14/8/17

21/8/17

28/8/17

4/9/17

11/9/17

18/9/17

25/9/17
Weekly Equipment Checklist Hospital:_______________________
October - December 2017
Complete this EVERY WEEK. Check every item of equipment. Indicate correct function of all equipment with , and any problems with .
Describe problems identified and action taken (including equipment serial number).
Concentrators Oximeters
Checklist item ->      Document problems identified and action taken (include equipment serial number) 
Week starting Date Alarms Flow Hours Filter Oximeter Probes Problems & Actions Sign

E.g. 20/12/09   4    Probe #1234567 broken, contacted Engineer for replacement. HG

2/10/17     
9/10/17

16/10/17

23/10/17

30/10/17

6/11/17

13/11/17

20/11/17

27/11/17

4/12/17

11/12/17

18/12/17

25/12/17